This work was done at the Department of Clinical Sciences, Uppsala, Sweden.
Demographics and Costs of Colic in Swedish Horses
Article first published online: 4 JUL 2008
Copyright © 2008 by the American College of Veterinary Internal Medicine
Journal of Veterinary Internal Medicine
Volume 22, Issue 4, pages 1029–1037, July–August 2008
How to Cite
Egenvall, A., Penell, J., Bonnett, B.N., Blix, J. and Pringle, J. (2008), Demographics and Costs of Colic in Swedish Horses. Journal of Veterinary Internal Medicine, 22: 1029–1037. doi: 10.1111/j.1939-1676.2008.0136.x
- Issue published online: 4 JUL 2008
- Article first published online: 4 JUL 2008
- Submitted January 10, 2008; Revised March 14, 2008; Accepted April 10, 2008.
- Breed group;
- Cox proportional hazards regression;
- Longitudinal study;
Background: Colic is an important cause of morbidity and mortality in horses. In Sweden, an insurance database with diagnostic medical information is maintained on >30% of the nation's horse population.
Hypothesis: The objective was to describe the occurrence of colic, defined by costly veterinary care and life claims, in horses at 1 insurance company during 1997–2002.
Horses: All horses (<21 years of age) with complete insurance for veterinary care and life during the period 1997–2002 were included.
Methods: Colic was defined as conditions where the main clinical sign was abdominal pain and the problem was related to the gastrointestinal system. The analyses included measures of incidence by sex, breed group, age categories, geographical location (urban/other), survival to and survival after colic, medical cost for colic, and multivariable modeling of risk factors related to the event of colic.
Results: In all, 116,288 horses contributed to 341,564 horse years at risk (HYAR). There were 3,100 horses with a colic diagnosis, of which 27% were settled for life insurance. The median gross cost for veterinary care was 4,729 Swedish Kronor (SEK). The overall occurrence and mortality rate of colic was 91 and 24 events per 10,000 HYAR. Survival after colic at 1 month was 76% (95% confidence interval: 75–78%).
Conclusions and Clinical Importance: The occurrence of colic varied with breed group, age, and season. The mortality rates probably reflected the true mortality of colic. The veterinary care rates most likely underestimated of the risk colic because they represent relatively costly events.